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^�PPLICATION FOP <br />'"'E""°"°° CONSTRUCTION <br />crtr oF <br />everett - PERMIT <br />DEPT. OF COMMUNI7Y DEVELOPMENT SF.RVICES <br />CITY HALL 259�8745 <br />EVERE7T,wn98201 n[�MBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />\ <br />G[NFR.•.:t6'+1RnC10R � mnll�OD0.E55 CIiY 21P PNONE lICW5E1 <br />n1ICMAhIUt CO�v1qAQON "'`_ ��AIL ADDRlSS CIIY 11V PHON[ LICENSE / <br />PIU��flI]f, CONiPACiOM MAII AUORI55 Cli} ZIP PIION[ LICEN$[ I <br />CUSS OI NONK <br />❑NEW ❑ADDITION ❑A:TE{ ATION ❑REPAIR ❑DEMOLITIGN FENCE ❑SIGN ❑GARAGE �JBUILDING ftELOCATION <br />\'A W AiION O� N'ORK <br />�'� <br />Of5l0.1p1 \\'ORA <br />vaorosious� ai eunoivc <br />l[GAI U[SCXIPiION 01 PROPEP fY �SIIOIVN B[lON' OX AiU01 fOUR COPIFS) <br />ioi __ oiocK __ or <br />S.'� � ZS.'J�-- -�C.l � n t P_ t� <br />PWM6�NG <br />NO. TYPE OF FI%TURE <br />ynTMTUB <br />UVATORY (K'ASM OASIN� <br />SHOWCR <br />KITCNFN SINK X DISP <br />DISWASMER <br />UUNDNY TRAY <br />CLOTMES WASMFR <br />WA7fR MUiFR <br />UNINAI <br />�RINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM RRUKENS <br />ROO! ORAINS—RAINLfAD <br />SINK 6EFVICI—AAR, ETC� <br />USF ZONE <br />TYP[ Of CI <br />SIZ[ OF BL <br />FBCZONE <br />TOTALiEE <br />STRCCT S[TOACK <br />LOT AREA <br />OCNPANCV GROUP <br />NO OF STORIF$ <br />PASEMENT IiLOBOOMS <br />M►IIOVAlS <br />1 ENVIRONMENTAL IMfCK LIST <br />2 BUILDINL PUNS <br />) FIRE NVDRANT <br />l FlRE PNOTKTION SYSTE.N <br />5 GNAUINGIL%CAVnTION6CLfARINGGRUtlflINL <br />6. ORAINAGE <br />7.ENVIRONMfNTALIMPAQ STATEMENT <br />E. MEALTM DISiRICT <br />s <br />I HERE�Y CERTIFY iHAT I HAVE READ AND E%AMINED THI$ AP- <br />VLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHEft STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE tRFORMANCE OF CO STRUCTION. <br />SIGNA E OF CONTRAQORfQ�2� AU ORIZE/D� ACENT DATE <br />�i i � A 1 � d // _ �i �i�/�1 <br />TYPE OF FQUIYMENT <br />AIR CONO UNITS—H P EA <br />REFRIL[RATION UNIT$—HP EA <br />HOILFRS—M P. EA <br />GAS (IHfD A C UNITS—TONNAGE EA <br />FOftC[D AIR SYSTEtdS—B T U. M <br />WnLt HkATERS-17 T U ld <br />U41I MEATFRS—II7 U M <br />EVAPORA7IVE COOL[RS <br />CLOiHfS ORYERS <br />V[NfIUTION FAN <br />RANGFHOOG <br />AIR MANDLING UNIT— CF M <br />510VE <br />MRAL FlRFPLACE 8 CHIMNEY <br />YARD SETUACR I �UN CII[CK <br />VAUNT SRf <br />❑YF$ ❑NO <br />VO OF UWFLUNG UNIT$ <br />D <br />er I O�TE <br />APPLICATION ACC. BY PLANS CMECKED BY I APPR. FOR ISSUANCE BY <br />1-79 <br />� <br />sus ro <br />�F0.MIT <br />FfE <br />FFES <br />FEE <br />� <br />3 <br />s <br />PUN CHECK FEE <br />RECEIPT NO. <br />V FEE <br />uunoir+c s <br />PWbt1I1NG <br />MECHANIUL <br />OTHFft <br />PENAITV U.�C. <br />SEC.JOAa) <br />TOTAL <br />�FIIMIT VALIDAiION <br />�NNEN PROPERLY VAIIDATfD (IN iMIS SPACE) THIS IS YOUR PERMIT <br />5 <br />